Individual
JOHN COLIN CULBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4526 NORTHPORT BLVD, SHREVEPORT, LA 71107-2536
(318) 935-9626
(318) 489-4181
Mailing address
3515 RICHMOND RD, TEXARKANA, TX 75503-0711
(903) 791-9355
(903) 793-0496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200663
LA
Other
Enumeration date
12/27/2012
Last updated
07/31/2025
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